Individual
KATIE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 TOWNE LAKE PKWY, STE 120, WOODSTOCK, GA 30189-8263
(678) 445-9799
(678) 445-2688
Mailing address
1432 TOWNE LAKE PKWY, STE 120, WOODSTOCK, GA 30189-8263
(678) 445-9799
(678) 445-2688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP7913
MEDICARE GROUP/FACILITY ID
GA
01
—
PT007675
LICENSE#
GA
Enumeration date
11/03/2006
Last updated
08/05/2009
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